| NPI | 1497800205 |
|---|---|
| Former Name | ALEXA ELIZABETH FAGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL ch 9333) |
| Additional Taxonomies | 176B00000X Midwife (Licence: FL MW460) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2024-03-19 |