| NPI | 1689050544 |
|---|---|
| Former Name | ALYSSA CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172808) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 1218506) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-11-03 |