| NPI | 1356609085 |
|---|---|
| Former Name | ALYSE CHONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD175816) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2018-10-18 |