| NPI | 1811400369 |
|---|---|
| Former Name | ALYSSA GERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA061023) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA004993) |
| 363A00000X Physician Assistant (Licence: DE C5-0001334) | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2024-07-29 |