NPI | 1568741858 |
---|---|
Former Name | ALANNA VALENTINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SD 0989) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 3318) |
Enumeration Date | 2011-08-04 |
Last Update Date | 2016-03-21 |