NPI | 1003848623 |
---|---|
Other Name | ALEESHA GOLDSTEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MI 4601003969) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MI 5601003969) |
363AS0400X Physician Assistant, Surgical (Licence: MI 5601003969) | |
Enumeration Date | 2006-07-06 |
Last Update Date | 2023-05-09 |