NPI | 1447802541 |
---|---|
Former Name | ALEXIS CIERA FOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: FL 315310) |
Additional Taxonomies | 374J00000X Doula (Licence: FL SBD20110775) |
Enumeration Date | 2019-07-10 |
Last Update Date | 2024-09-17 |