NPI | 1003010976 |
---|---|
Former Name | BRANDI ALEXANDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: GA 76750) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.094508) |
208000000X Pediatrics (Licence: AR E-10688) | |
Enumeration Date | 2007-06-13 |
Last Update Date | 2019-09-26 |