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 |