NPI | 1730588559 |
---|---|
Former Name | ALEXANDRA STENCEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704286972) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704286972) |
363L00000X Nurse Practitioner (Licence: MI 4704286972) | |
Enumeration Date | 2014-08-18 |
Last Update Date | 2019-10-29 |