| NPI | 1700574050 |
|---|---|
| Former Name | ALYSIA ZUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CT 6108) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2024-10-28 |