NPI | 1346830601 |
---|---|
Former Name | LEXI ANN MARX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA062290) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA005539) |
Enumeration Date | 2021-01-21 |
Last Update Date | 2021-12-09 |