| NPI | 1275200917 |
|---|---|
| Former Name | ALEXNADRA NOEL CONNALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OK 4966) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-08-29 |
| Last Update Date | 2024-03-25 |