| NPI | 1750551420 |
|---|---|
| Former Name | ALEXANDRA MARIA DICKERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AZ 52881) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 52881) |
| Enumeration Date | 2008-03-09 |
| Last Update Date | 2018-03-30 |