| NPI | 1538553490 |
|---|---|
| Former Name | ALYSSA M SHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 289471) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MA 289471) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2023-06-09 |