| NPI | 1386114205 |
|---|---|
| Former Name | ALYSSA HONCHARUK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IN 36002011A) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |