| NPI | 1962271437 |
|---|---|
| Former Name | ALYSSA JOYCE WYATT/HATHCOCK/BREWER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-155277) |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2023-12-26 |