| NPI | 1275896391 |
|---|---|
| Former Name | ALYSSA M HACHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA055478) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA002847) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2022-07-21 |