| NPI | 1811057532 |
|---|---|
| Former Name | ALISA JUANELLE PEARSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 642665) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |