| NPI | 1871950220 |
|---|---|
| Former Name | ALYSSA D VANDERPLOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006037A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28198318A) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2017-06-23 |