NPI | 1316138506 |
---|---|
Former Name | ALEXA LYNNE REEVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A104553) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: TX BP1-0029116) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2020-08-18 |