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 |