NPI | 1255992681 |
---|---|
Former Name | ALEXIS LEIGH HANSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ND PT20229) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 8617) |
Enumeration Date | 2019-06-26 |
Last Update Date | 2023-09-01 |