| NPI | 1659369551 |
|---|---|
| Former Name | ALISA ALFONSI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PA MD074378L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD074378L) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2011-09-02 |