NPI | 1932669447 |
---|---|
Former Name | ALANNA ALEXANDRA GORDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO211593) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 009293) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-21 |
Last Update Date | 2022-09-16 |