| NPI | 1922584127 |
|---|---|
| Former Name | ALYSSA NICOLE CHEVALIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A146570) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 146570) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-13 |