| NPI | 1720575467 |
|---|---|
| Former Name | ALISA MYERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR A005798) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: AR A005798) |
| 163W00000X Registered Nurse (Licence: AR R069486) | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2025-05-13 |