| 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 |