| NPI | 1811625122 |
|---|---|
| Former Name | ALEXANDRA CHRISTINE HETZER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 13118-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 196588-30) |
| Enumeration Date | 2022-08-13 |
| Last Update Date | 2022-10-10 |