| NPI | 1962081380 |
|---|---|
| Former Name | ALEXANDRIA ANNE CUMMUTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 125077633) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-04-04 |
| Last Update Date | 2021-05-28 |