NPI | 1235788738 |
---|---|
Former Name | ALEXIS ELIZABETH GOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI APRN-3734-0) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R-236938-3) |
Enumeration Date | 2019-09-06 |
Last Update Date | 2023-02-01 |