NPI | 1487975116 |
---|---|
Former Name | ALEXIS MACKENZIE SENEFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0004446) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 0004446) |
363AM0700X Physician Assistant, Medical | |
Enumeration Date | 2010-06-16 |
Last Update Date | 2018-10-22 |