| NPI | 1235954629 |
|---|---|
| Former Name | ALEXANDRA MICHELLE BETANCOURT-PEREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F355911) |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2025-01-31 |