NPI | 1265597967 |
---|---|
Former Name | ALEXANDRA L SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX S1680) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A102834) |
Enumeration Date | 2006-12-25 |
Last Update Date | 2021-09-02 |