| NPI | 1538822390 |
|---|---|
| Former Name | ALEXANDRA ELIZABETH DEVORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71011668A) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-19 |