| NPI | 1992356620 |
|---|---|
| Former Name | ALEXIS TAYLOR GOLEMO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL 9112571) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 9112571) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2021-08-31 |