| NPI | 1366103012 | 
|---|---|
| Other Name | ALEXANDRA P CHARLTON | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110008727) | 
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110008727) | 
| Enumeration Date | 2022-01-05 | 
| Last Update Date | 2023-11-21 |