| NPI | 1225407141 |
|---|---|
| Former Name | ALEXI A TETRAULT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 5068) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC DI100000733) |
| 363AS0400X Physician Assistant, Surgical | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2025-02-27 |