NPI | 1245606474 |
---|---|
Former Name | ALAINA MIELE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CT 3340) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 3340) |
363AM0700X Physician Assistant, Medical (Licence: CT 3340) | |
Enumeration Date | 2015-08-11 |
Last Update Date | 2022-05-06 |