NPI | 1033962436 |
---|---|
Former Name | ALEXIS MARIE SOTELLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1156971) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1156971) |
Enumeration Date | 2024-04-08 |
Last Update Date | 2025-01-09 |