| NPI | 1760996789 |
|---|---|
| Former Name | STACEY ALEXANDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP10803) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP10803) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2023-07-18 |