NPI | 1073815700 |
---|---|
Former Name | ALEXA NICOLE MORGESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 014548) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 014548) |
363A00000X Physician Assistant (Licence: NY 014548) | |
Enumeration Date | 2010-12-01 |
Last Update Date | 2017-01-25 |