| NPI | 1740973437 |
|---|---|
| Former Name | ALEXANDRIA BOUSAMRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 28236074A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28236074C) |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-08-21 |