| NPI | 1760681688 |
|---|---|
| Former Name | ALYSSA JEANNE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA0004380) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OR PA01245) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2023-03-07 |