| NPI | 1588431571 |
|---|---|
| Former Name | ALYSSA MARIE HEFFERNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 10651) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: AZ 10651) |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2025-07-03 |