| NPI | 1700319647 |
|---|---|
| Former Name | ALEXANDRA KATHERINE OLDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601008277) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2024-11-27 |