| NPI | 1730607235 |
|---|---|
| Former Name | ALEXANDRA RAMIREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2017031874) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085006472) |
| 363A00000X Physician Assistant (Licence: IL 085.) | |
| 363AM0700X Physician Assistant, Medical (Licence: MO 2017031874) | |
| 363AS0400X Physician Assistant, Surgical (Licence: MO 2017031874) | |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2021-03-16 |