NPI | 1528503000 |
---|---|
Other Name | ALEXA ROSE BIRNBAUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341259) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00689700) |
Enumeration Date | 2016-12-20 |
Last Update Date | 2023-01-09 |