| NPI | 1528767225 |
|---|---|
| Former Name | ALYSSA LEE ZUCKERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R208190) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-06-29 |