| NPI | 1649022807 |
|---|---|
| Former Name | ALYSSA WOHLFAHRT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: WI 87970-20) |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2026-09-20 |