| NPI | 1497475842 |
|---|---|
| Former Name | LEXIE ANN KOOP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IN 71014156A) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2024-09-13 |