| NPI | 1962881458 |
|---|---|
| Former Name | ALEXIS ROLDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD464143) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT208793) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2018-08-15 |