| NPI | 1346566171 |
|---|---|
| Former Name | ALEXIS MICHELE MACNEILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 8046550-1204) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2021-11-17 |