| NPI | 1962851170 |
|---|---|
| Former Name | ALYSSA OWCZARCZAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.139130) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT210955) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH 35.139130) | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2020-08-10 |