| NPI | 1578110474 |
|---|---|
| Former Name | ALEXIS COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: SC 3317) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 3317) |
| Enumeration Date | 2019-08-25 |
| Last Update Date | 2019-12-19 |