| NPI | 1235653833 |
|---|---|
| Former Name | ALYSSA JANOSKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9110446) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2019-09-18 |