| NPI | 1700389988 |
|---|---|
| Former Name | ALEXANDRA M PEREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 8992) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2025-08-11 |