NPI | 1871208512 |
---|---|
Former Name | ALEXANDRA H DUBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 11410) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 11410) |
Enumeration Date | 2023-01-17 |
Last Update Date | 2024-12-05 |