NPI | 1396130605 |
---|---|
Former Name | ROXANE ALEXIS DALKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA1625) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA62121) |
363A00000X Physician Assistant (Licence: UT 13247622-1206) | |
363AM0700X Physician Assistant, Medical (Licence: NV PA1625) | |
Enumeration Date | 2015-04-02 |
Last Update Date | 2024-11-23 |