| NPI | 1902478480 |
|---|---|
| Former Name | ALYSSA LYNN HARTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6740) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001252329) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-11-02 |