| 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 |