| NPI | 1912730052 |
|---|---|
| Former Name | ALEXA RENEE DEMANUEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 353283) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 809745) |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-08-23 |