NPI | 1356786974 |
---|---|
Former Name | ALEXANDRA MYRICK SIMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.139799) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD044118) |
Enumeration Date | 2013-05-09 |
Last Update Date | 2022-07-08 |