| NPI | 1306562632 |
|---|---|
| Former Name | ALEXIS KRISTEN KHOSRAVANI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209026414) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041414842) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2025-04-24 |