NPI | 1558996363 |
---|---|
Other Name | ALEXA RYANNE WECKBACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0100X Preventive Medicine Aerospace Medicine (Licence: VA 0101273235) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101273235) |
Enumeration Date | 2020-03-12 |
Last Update Date | 2024-09-18 |