| NPI | 1720957970 |
|---|---|
| Former Name | ALYSON REA DZIAVIT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP70063241) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP70063241) |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2026-01-05 |