| NPI | 1922575034 |
|---|---|
| Former Name | ALYSSA MICHELLE O'BRIEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-11228) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD c0006992) |
| 363A00000X Physician Assistant (Licence: VA 0110-006681) | |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2022-11-30 |