| NPI | 1407278427 |
|---|---|
| Former Name | ALISSA MIYAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CA 23500) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist Acute Care (Licence: CA 4035) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-10-14 |