NPI | 1578925814 |
---|---|
Former Name | ALEXIS J STEVENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A152357) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A152357) |
Enumeration Date | 2016-03-25 |
Last Update Date | 2020-09-09 |