NPI | 1720416456 |
---|---|
Former Name | ALEXANDRA V HOPPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VT 055-0031251) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA 9107436) |
Enumeration Date | 2013-10-15 |
Last Update Date | 2023-07-07 |