| NPI | 1891383931 |
|---|---|
| Former Name | ALEXIS JANE SIMMERMEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.006568RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 58925) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2023-05-18 |