NPI | 1679175715 |
---|---|
Former Name | ALEXANDRA MARIE SHARICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: PA MA061841) |
363A00000X Physician Assistant | |
363AS0400X Physician Assistant, Surgical (Licence: PA MA061841) | |
Enumeration Date | 2020-11-13 |
Last Update Date | 2025-06-03 |