| NPI | 1346709375 |
|---|---|
| Former Name | ALEXANDRA KATHERINE DERUSSO-FORREST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D95978) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2023-08-17 |