| NPI | 1124332903 |
|---|---|
| Former Name | ALEXANDRA LEE HART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA6582) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055337) |
| 363A00000X Physician Assistant (Licence: CA PA61034) | |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2025-08-26 |