| NPI | 1417787813 |
|---|---|
| Former Name | ALECIA BEIMBORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 6261) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MS PA00848) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-11-15 |