| NPI | 1437649019 |
|---|---|
| Former Name | ALYSSA BINA ETTINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 88885) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL52356) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2021-08-05 |