| NPI | 1134102502 |
|---|---|
| Former Name | ALLA KAGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 10194) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50-001385) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2012-10-19 |