| NPI | 1760032544 |
|---|---|
| Former Name | ALYSSA M TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 7623) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ PENDING) |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2022-06-10 |