| NPI | 1265803738 |
|---|---|
| Professional Name | ALEXANDRA VITALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 3455) |
| 363AS0400X Physician Assistant, Surgical (Licence: CT 3455) | |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2022-01-27 |