| NPI | 1144672361 |
|---|---|
| Former Name | ALEXANDRA MARIE DEVRIES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60651791) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: ID PA1916) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2024-01-03 |