| NPI | 1790541571 |
|---|---|
| Former Name | ALISHA LYNETTE SISSONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MI 4704251736) |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |