| NPI | 1639609696 |
|---|---|
| Former Name | ALICIA TAYLOR GARBADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA060420) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA004204) |
| 363AS0400X Physician Assistant, Surgical (Licence: PA MA060420) | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2019-07-31 |