| NPI | 1639650476 |
|---|---|
| Other Name | ALEXANDRA SERGEYVNA POPOVA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 25025) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 0000225458) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-10-20 |