| NPI | 1538518733 |
|---|---|
| Former Name | ALYSSA MCCARTHY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS019018) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT017021) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2022-02-03 |