NPI | 1932834298 |
---|---|
Former Name | ALYSSA MARI REHRER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 9222) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AZ 9222) |
Enumeration Date | 2022-07-20 |
Last Update Date | 2025-05-01 |