| NPI | 1417453655 |
|---|---|
| Former Name | ALEXANDRIA SPORLEDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2021030543) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11019987A) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2022-06-27 |