| NPI | 1770928558 |
|---|---|
| Former Name | ALEXIS B HANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD175758) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2016-12-19 |