NPI | 1801646807 |
---|---|
Former Name | ALYSSA KATHERINE WHITNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 80261) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 34346) |
Enumeration Date | 2024-03-25 |
Last Update Date | 2025-07-31 |