| NPI | 1811613177 |
|---|---|
| Former Name | ALYSSA MARIE WHITLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse Critical Care Medicine (Licence: OH RN.438539) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-10-18 |