| NPI | 1376863654 |
|---|---|
| Former Name | ALYSSA S TOBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC APN4253) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 204186) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2018-04-09 |