NPI | 1518179209 |
---|---|
Former Name | TAMIKA ANDRIA ALEXANDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036-128864) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207V00000X Obstetrics & Gynecology (Licence: IL 036128864) | |
Enumeration Date | 2007-05-04 |
Last Update Date | 2012-02-08 |