NPI | 1841721669 |
---|---|
Former Name | ALEXANDRA BURNWEIT ASERLIND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MD472560) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-03-23 |
Last Update Date | 2021-03-03 |