| NPI | 1316098072 |
|---|---|
| Former Name | ALYSSA WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 926460) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR LD-D-10210435) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2025-03-26 |