| NPI | 1912510389 |
|---|---|
| Former Name | ALEXIS NICOLE RILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021734) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IL 041430426) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2023-03-13 |