| NPI | 1174916126 |
|---|---|
| Former Name | ALEXA MCDONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 01024127) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NY 48 007690) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2018-07-27 |