NPI | 1639154750 |
---|---|
Former Name | LEI D ALEXIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI APRN-505) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI F0898071) |
Enumeration Date | 2005-12-13 |
Last Update Date | 2021-03-12 |