NPI | 1659616670 |
---|---|
Former Name | MONICA RAQUEL ALEXANDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS12222) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL UO2611) |
Enumeration Date | 2012-12-03 |
Last Update Date | 2013-06-24 |