| NPI | 1932629649 |
|---|---|
| Former Name | ALYSSA FAITH DILLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-11185) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00435800) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2022-02-28 |