| NPI | 1780883413 |
|---|---|
| Former Name | ALEXIS ANNE MOTTL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 14954) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VT 42.0012730) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2015-08-27 |