NPI | 1942759964 |
---|---|
Former Name | ALYSSA STECKEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 020263) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2016-10-03 |
Last Update Date | 2024-09-06 |