| NPI | 1184123267 |
|---|---|
| Former Name | ALEXIS LAUREN KOCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 95008518) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |