NPI | 1437692209 |
---|---|
Former Name | ALANA ANDROVETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA058795) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2016-11-29 |
Last Update Date | 2022-12-20 |