| NPI | 1982195277 |
|---|---|
| Former Name | ISABEL E BETANCOURT OTANEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110007894) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9111239) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2023-08-08 |