| NPI | 1760775233 |
|---|---|
| Former Name | ALEXANDRA NICHOLE BASTIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: IA DO-04591) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA DO-04591) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: IA DO-04591) | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2018-07-20 |