| NPI | 1508365230 |
|---|---|
| Former Name | ALYSON ELIZABETH EWIGMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 6622) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2025-08-15 |