| NPI | 1932428497 |
|---|---|
| Former Name | ALISSA M STULL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX T8515) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TX T8515) |
| 207Q00000X Family Medicine (Licence: TX T8515) | |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2022-09-27 |