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 |