NPI | 1336313089 |
---|---|
Former Name | DAINA MARIE ALEXANDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01077436A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.126875) |
208000000X Pediatrics (Licence: IL 036.126875) | |
208000000X Pediatrics (Licence: IN 01077436A) | |
Enumeration Date | 2008-04-14 |
Last Update Date | 2023-10-17 |