| NPI | 1710514252 |
|---|---|
| Former Name | ALEXANDRA MENDOZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301511710) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207V00000X Obstetrics & Gynecology (Licence: NC 2022-00864) | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2024-08-03 |