| NPI | 1174125520 |
|---|---|
| Former Name | ALEXIS TANAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010772A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28198542A) |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2023-05-22 |