NPI | 1063761500 |
---|---|
Former Name | ALEXANDRA ALABATA SANBORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.1466) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9106852) |
Enumeration Date | 2012-08-30 |
Last Update Date | 2021-03-04 |