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 |