NPI | 1548538085 |
---|---|
Former Name | ALEXANDRA NICOLE PESKURIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: TX 727436) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TX 727436) |
Enumeration Date | 2011-12-12 |
Last Update Date | 2023-08-15 |