NPI | 1659816890 |
---|---|
Former Name | ALYSSA METZLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0006877) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9110079) |
Enumeration Date | 2016-12-26 |
Last Update Date | 2022-06-09 |