| NPI | 1881045243 |
|---|---|
| Former Name | ALYSSA LAWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX U4277) |
| Additional Taxonomies | 2086S0120X Surgery Pediatric Surgery (Licence: WI 75370) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2023-10-17 |