| NPI | 1093209835 |
|---|---|
| Former Name | ALYSSA TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 24238) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN248424) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2023-07-07 |