| NPI | 1255912424 |
|---|---|
| Former Name | ALEXA JEAN DEXHEIMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT223344) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA HS000288L) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2021-06-02 |