NPI | 1710301494 |
---|---|
Former Name | ALEXANDRA KAITLIN TURNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 1800) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 003916) |
Enumeration Date | 2014-02-14 |
Last Update Date | 2025-01-30 |