NPI | 1467179788 |
---|---|
Former Name | ALEXIS AGUILOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95026824) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1048750) |
Enumeration Date | 2022-10-26 |
Last Update Date | 2024-01-15 |