| NPI | 1528698966 |
|---|---|
| Former Name | ALEXANDRA MARIE MCDOUGALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: IA C154759) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA C154759) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |