NPI | 1871024315 |
---|---|
Former Name | ALEXANDRA THERESE MENDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 036150452) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 125071346) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-26 |
Last Update Date | 2025-03-28 |