| NPI | 1700546462 |
|---|---|
| Former Name | ALAINA KATHERINE DAUTERIVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 330023) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2024-10-14 |