| NPI | 1770894149 |
|---|---|
| Former Name | ALEXIS MARTHAJANE FRASER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ME 4412) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NH 03858) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2015-04-06 |