| NPI | 1720814155 |
|---|---|
| Former Name | ALEXANDRA GRACE LUXARDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA065949) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA065949) |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2025-09-11 |