NPI | 1861548778 |
---|---|
Other Name | ALISSA J CONWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA05746) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IA 001309) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2016-11-01 |