NPI | 1902860406 |
---|---|
Former Name | JENNIFER REBECCA ALEXANDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 4995) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L7640) |
Enumeration Date | 2006-04-13 |
Last Update Date | 2017-02-24 |