NPI | 1649577057 |
---|---|
Former Name | ALINA STOMANT COLLAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601005959) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MI 5601005959) |
Enumeration Date | 2011-02-21 |
Last Update Date | 2023-06-16 |