| NPI | 1376998021 |
|---|---|
| Former Name | ALEXIS NICOLE LIGHTEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0090129) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: DC MD045728) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101270413) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2023-04-03 |