| NPI | 1811514128 |
|---|---|
| Former Name | ALEXIS HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX V4393) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: VT 032.0134300) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2026-06-13 |