| NPI | 1235544792 |
|---|---|
| Former Name | ALISSA MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277001133) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209011500) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2024-02-05 |