| NPI | 1811690357 |
|---|---|
| Former Name | ALEXA AUGUSTO SOARES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 77562) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 33355) |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2024-08-10 |