NPI | 1184385296 |
---|---|
Former Name | ALEXANDRA MARIE BURNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-11968) |
Enumeration Date | 2022-01-02 |
Last Update Date | 2023-09-07 |