| NPI | 1851610976 |
|---|---|
| Former Name | ALYSSA UPHOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA A131437) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 036131673) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2024-04-08 |