NPI | 1568974707 |
---|---|
Former Name | ALEXA MACALADY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0995632-NP) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO 1623517) |
Enumeration Date | 2017-10-27 |
Last Update Date | 2022-11-11 |