| NPI | 1043339757 |
|---|---|
| Former Name | ALYSSA SHERIDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00110200) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00110200) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2025-02-14 |