| 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 |