| NPI | 1780122580 |
|---|---|
| Former Name | ALEXIS DANIELLE SHEID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 9744) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07198) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |