NPI | 1285123802 |
---|---|
Former Name | ALEXIS VICTORIA RUDD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL ME149475) |
Enumeration Date | 2018-05-09 |
Last Update Date | 2024-05-23 |