NPI | 1467705525 |
---|---|
Former Name | HANNA ALEXANDRA RODGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110005088) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA22485) |
Enumeration Date | 2012-10-25 |
Last Update Date | 2015-10-21 |