NPI | 1043558638 |
---|---|
Former Name | ALEXANDRA GISELLE DE LA ROSA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61192971) |
Additional Taxonomies | 374J00000X Doula |
Enumeration Date | 2013-01-17 |
Last Update Date | 2022-12-09 |