NPI | 1528429800 |
---|---|
Former Name | ALEXANDRIA M COWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 22057) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 22057) |
363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN 176381) | |
Enumeration Date | 2016-03-14 |
Last Update Date | 2024-04-18 |