NPI | 1407460843 |
---|---|
Former Name | ALEXANDRA PAIGE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-13757) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PA-938) |
Enumeration Date | 2020-09-02 |
Last Update Date | 2024-04-09 |