NPI | 1114449378 |
---|---|
Former Name | ALEXANDRA PEARSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA059162) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-07-10 |
Last Update Date | 2024-03-27 |