| NPI | 1962779686 |
|---|---|
| Former Name | ALEXA J MCINNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 056355-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN277741) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 056355-21) | |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2020-10-14 |