| NPI | 1568914018 |
|---|---|
| Former Name | ALEXSANDRA OLIVIA WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA10828) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0006829) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2024-11-01 |