| 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 |