| NPI | 1336823996 |
|---|---|
| Former Name | ALYSSA PROSCENO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 53212) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WY 41139) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-11-02 |