NPI | 1770141616 |
---|---|
Former Name | SHELBY DANIELLE ALEXA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421498) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 685729) |
176B00000X Midwife (Licence: NY F001920) | |
Enumeration Date | 2019-06-05 |
Last Update Date | 2024-02-01 |