NPI | 1811320559 |
---|---|
Former Name | ALEXANDRA PAIGE LIBON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2272200) |
Enumeration Date | 2013-08-16 |
Last Update Date | 2020-11-11 |