| NPI | 1679283469 |
|---|---|
| Former Name | ALAINA GROTTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA64827) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61397064) |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2024-09-15 |