| NPI | 1912458498 |
|---|---|
| Former Name | ALEXANDRA HARVEST BUFFUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP132284) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2019-06-07 |