| NPI | 1629592811 |
|---|---|
| Former Name | ALYSSE THUMMEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: NV PA2052) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant (Licence: CA 54901) | |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2024-02-08 |