| NPI | 1821510173 |
|---|---|
| Former Name | ALYSSA HELEN STEPHENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA195071) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 54621) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2023-03-16 |