| NPI | 1124252648 |
|---|---|
| Former Name | ALISSA A BULT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD SD-CRNA CR000720) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2017-01-31 |