| NPI | 1033818992 |
|---|---|
| Former Name | ALYSSA MARIE KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11011716) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11011716) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |