NPI | 1629438155 |
---|---|
Former Name | ALYSSA SNYDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006313A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28164399A) |
Enumeration Date | 2016-02-25 |
Last Update Date | 2022-05-04 |