NPI | 1811524630 |
---|---|
Former Name | ALEXANDRIA PAIGE FANCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD61425419) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61425419) |
Enumeration Date | 2020-03-23 |
Last Update Date | 2023-09-29 |