| NPI | 1336508886 |
|---|---|
| Former Name | ALEXIS LORI MALLOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 343863) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR16041100) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2025-05-20 |