NPI | 1215485420 |
---|---|
Other Name | ALISHA MICHELLE TALLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA180182) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 7021) |
Enumeration Date | 2016-09-15 |
Last Update Date | 2025-07-14 |