| NPI | 1427396670 |
|---|---|
| Former Name | ALEXA NICOLE WHITEFOOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 073625) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NE 1700) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2022-07-21 |