NPI | 1710414628 |
---|---|
Former Name | ALEXIA K FOLLWEILER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0011598) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA059072) |
Enumeration Date | 2017-05-23 |
Last Update Date | 2021-10-04 |