NPI | 1134601388 |
---|---|
Former Name | ALEXANDRA KAY ELLISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: CA GC001045) |
Additional Taxonomies | 170300000X Genetic Counselor, MS |
Enumeration Date | 2018-09-04 |
Last Update Date | 2024-10-02 |