| NPI | 1679064760 |
|---|---|
| Former Name | ALYSSA MCKINNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 7014) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA1942) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2022-12-08 |