| NPI | 1477121051 |
|---|---|
| Former Name | ALEXIS ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MA LDN5330) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD.10800) |
| 133V00000X Dietitian, Registered (Licence: MN 4628) | |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2025-01-06 |