| NPI | 1902661200 |
|---|---|
| Former Name | ALEXIS MARIE TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN309449) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA RN309449) |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2025-09-24 |