| NPI | 1245617992 |
|---|---|
| Former Name | ALYSSA M MATHERNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP08346) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA RN126270) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2017-04-12 |