| NPI | 1134597305 |
|---|---|
| Former Name | ALYSSA M KOZIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015320) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN595791) |
| 363L00000X Nurse Practitioner (Licence: PA SP015320) | |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2020-10-01 |