NPI | 1114317252 |
---|---|
Former Name | ALEXANDRA V GLOIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C07203) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.005185RX) |
Enumeration Date | 2015-01-28 |
Last Update Date | 2020-07-01 |