| NPI | 1952833014 |
|---|---|
| Former Name | ALEXIS EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC LAT-3024) |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: NC P115261) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2018-05-23 |