| NPI | 1497370852 |
|---|---|
| Former Name | ALYSSA ROSE JIMERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209021389) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2021-04-08 |