| NPI | 1407282320 |
|---|---|
| Former Name | ALYSSA DANIELLE VAHALA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA202447) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-04521) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2021-01-29 |