| NPI | 1073085593 |
|---|---|
| Former Name | ALYSSA RATAJCZAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-11362) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 023592) |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2025-06-30 |