NPI | 1801221718 |
---|---|
Former Name | LETITIA SHAMEIKA ALEXANDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 344496) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432618) |
Enumeration Date | 2013-09-10 |
Last Update Date | 2024-06-25 |