NPI | 1144621962 |
---|---|
Former Name | ALEXANDRA CUMMINGS ONISK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00346100) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00346100) |
Enumeration Date | 2014-09-11 |
Last Update Date | 2018-05-01 |