NPI | 1235865643 |
---|---|
Former Name | ALYSSA MARIE MELLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-07-27 |
Last Update Date | 2022-07-27 |