| NPI | 1861802050 |
|---|---|
| Former Name | ALEXA SUZANNE ETKIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 017605) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 017605) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2025-07-17 |