| NPI | 1346890688 |
|---|---|
| Former Name | ALEXIS HALEY VIRLEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: IL 164.007465) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2025-06-20 |