| NPI | 1477252807 |
|---|---|
| Former Name | ALEXANDRA R SCHALK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3019085) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 1180453) |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2023-02-24 |