| NPI | 1760373047 |
|---|---|
| Former Name | ALEXA ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 39199) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 250325) |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-11-04 |