| NPI | 1134651433 |
|---|---|
| Former Name | ALEXANDRA T GAST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 73947) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 282532) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-05-04 |