NPI | 1508668369 |
---|---|
Former Name | ALEXA RAE HOOVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP033329) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN682837) |
Enumeration Date | 2025-03-25 |
Last Update Date | 2025-07-14 |