NPI | 1649689761 |
---|---|
Former Name | MALEA ALEXANDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60992354) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60775999) |
Enumeration Date | 2014-08-04 |
Last Update Date | 2024-09-09 |