| NPI | 1679913727 |
|---|---|
| Former Name | ALEXANDRA VITEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: VA 0110005640) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC 2268) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2021-02-18 |