| NPI | 1124693502 |
|---|---|
| Former Name | ALEXIS ANN VIOLETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: SC 86121) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 86121) |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2025-12-17 |