| NPI | 1649815341 |
|---|---|
| Former Name | ALEXANDRA ELIZABETH LEGGETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12908) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C07428) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2024-08-26 |