| NPI | 1972185130 |
|---|---|
| Former Name | ALEXA BAHOURA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704325802) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704325802) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2026-02-12 |