| NPI | 1548620644 |
|---|---|
| Former Name | ALEXANDRA MARY D'ANGELO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11016482) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 20160413) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2023-01-05 |