| NPI | 1538394960 |
|---|---|
| Former Name | ALISSA KATE ORVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME115399) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN13817) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2021-01-05 |