| NPI | 1003288127 |
|---|---|
| Former Name | ALYSSA CANINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 20587) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 184555) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2022-03-18 |