| NPI | 1982139531 |
|---|---|
| Former Name | ALEXANDRA MICHELE PAYTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0089224) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 227321) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2020-06-24 |