| NPI | 1336699982 | 
|---|---|
| Former Name | ALEXIS M JANKOWSKI | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 3908) | 
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical | 
| Enumeration Date | 2016-10-06 | 
| Last Update Date | 2021-01-13 |