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 |