| NPI | 1679118269 |
|---|---|
| Former Name | ALEXANDRA MARIE HARTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA061223) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363AM0700X Physician Assistant, Medical (Licence: PA OA005105) | |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2023-11-09 |