NPI | 1023470416 |
---|---|
Former Name | ALEXANDRA RUTH LANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MA 277516) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 277516) |
Enumeration Date | 2016-03-24 |
Last Update Date | 2023-06-07 |