NPI | 1649607144 |
---|---|
Former Name | ALYSSA L. LAMOTTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA056397) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA003133) |
Enumeration Date | 2013-09-30 |
Last Update Date | 2023-10-06 |