| NPI | 1033641535 |
|---|---|
| Former Name | ALEXANDRA BROOKE WIESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301503800) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2021-07-02 |