NPI | 1366808826 |
---|---|
Former Name | ALYSSA NICOLE HOWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: SC 2440) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 2440) |
Enumeration Date | 2016-01-13 |
Last Update Date | 2020-03-13 |