NPI | 1477205706 |
---|---|
Former Name | ALEXANDRA SCHLAUCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021028377) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-80806-082) |
Enumeration Date | 2022-01-18 |
Last Update Date | 2022-01-23 |