NPI | 1881373736 |
---|---|
Former Name | ALEXIS VONU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN0998908) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO APN.0998908) |
Enumeration Date | 2023-07-17 |
Last Update Date | 2024-10-09 |