| NPI | 1811354376 |
|---|---|
| Former Name | ALYSSA DORVAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00504600) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MD C06036) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2022-11-14 |