| NPI | 1841735883 |
|---|---|
| Former Name | ALEXANDRA GRACE THEES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024177245) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95005394) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95005394) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024177245) | |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2019-06-27 |