NPI | 1508218066 |
---|---|
Former Name | SLOAN ALEXANDRA ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC PA3673) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 008017) |
Enumeration Date | 2016-07-08 |
Last Update Date | 2020-09-29 |