| NPI | 1265723795 |
|---|---|
| Former Name | ALEXANDRA E GOLDBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: UT 8406610-1205) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2021-10-28 |