NPI | 1457928012 |
---|---|
Former Name | ALEXIS VICTORIA CHAET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61535631) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A182915) |
207Q00000X Family Medicine (Licence: CA FC0734877) | |
Enumeration Date | 2021-06-10 |
Last Update Date | 2025-01-28 |