| NPI | 1396254058 |
|---|---|
| Former Name | ALISON KUSYJ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95007188) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: CA 95007188) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95007188) | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2019-04-09 |