| NPI | 1164079190 |
|---|---|
| Former Name | ALEXANDRA MARIA CIRAULO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601009976) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: MI 5601009976) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2024-01-09 |