| NPI | 1265321681 |
|---|---|
| Former Name | ALYSSIA TYRELL TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1710I1002X Military Health Care Provider, Independent Duty Corpsman (Licence: ZZ 080020440032) |
| Additional Taxonomies | 171W00000X Contractor (Licence: VA 10492248643) |
| 246Z00000X Specialist/Technologist, Other (Licence: VA 10492248643) | |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-01 |