| NPI | 1609630300 |
|---|---|
| Former Name | ALYSA BRIANN CRIGLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 45832) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2025-05-30 |