NPI | 1720647332 |
---|---|
Former Name | ALEXANDRA LYN SPRINGMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NE 34672) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-11474) |
Enumeration Date | 2019-06-07 |
Last Update Date | 2022-07-29 |