| NPI | 1841451119 |
|---|---|
| Former Name | ANASTASIA ZOE SPENCER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD0000047965) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11014429A) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2020-02-20 |