| NPI | 1740914704 |
|---|---|
| Former Name | ALYSSA ELENA LAMOND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA01495) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA8827) |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2024-01-16 |