| NPI | 1295096964 |
|---|---|
| Former Name | WALKITRIA MINNIE ALEXANDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 74598) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116024402) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2024-02-03 |