| NPI | 1376787937 |
|---|---|
| Former Name | ALISHA R. MCCON-DYER-REPLACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A11439) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2012-10-15 |