NPI | 1508252982 |
---|---|
Former Name | ALEXANDRA M CRABB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101264378) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-04-13 |
Last Update Date | 2018-07-02 |