| NPI | 1801137476 |
|---|---|
| Former Name | ALYSSA ANN NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA08424) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2022-07-21 |