NPI | 1568886463 |
---|---|
Former Name | ALEXANDRA CARA EGEDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013687) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN642686) |
Enumeration Date | 2014-02-12 |
Last Update Date | 2020-06-08 |