NPI | 1932629102 |
---|---|
Former Name | ALEXANDRA ELIZABETH HOFMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-07311) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-07311) |
Enumeration Date | 2017-06-20 |
Last Update Date | 2020-07-14 |