| NPI | 1811149172 |
|---|---|
| Former Name | ALISSA PYTHON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 4944) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA08410) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2020-10-09 |