| NPI | 1770815839 |
|---|---|
| Former Name | ALETHA DESIREE MARIE MATSIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN9323571) |
| Enumeration Date | 2010-01-31 |
| Last Update Date | 2020-08-26 |