NPI | 1427473479 |
---|---|
Former Name | ALEXIS ANNE PRESLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95011181) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76239-012) |
Enumeration Date | 2014-02-27 |
Last Update Date | 2020-02-05 |