| NPI | 1871198382 |
|---|---|
| Former Name | ALEXANDRA ANN FUNKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A161585) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA A161585) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2023-06-23 |