| NPI | 1548709595 |
|---|---|
| Former Name | ALEXIS ELIZABETH HOLLAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F342624-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 701260) |
| 163W00000X Registered Nurse (Licence: CT 134169) | |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2018-08-14 |