NPI | 1578081980 |
---|---|
Former Name | ALYSSA CARYN ABEGG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60781552) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60668727) |
Enumeration Date | 2017-09-06 |
Last Update Date | 2018-02-20 |