| NPI | 1801461017 |
|---|---|
| Former Name | ALYSSA NICOLE RISIN KELDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.153032) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2026-01-05 |