| NPI | 1457732885 | 
|---|---|
| Former Name | ALEXANDRA OWENS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101268348) | 
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D0088444) | 
| 207R00000X Internal Medicine (Licence: FL TRN22091) | |
| Enumeration Date | 2015-06-11 | 
| Last Update Date | 2024-05-02 |