| NPI | 1982613246 |
|---|---|
| Former Name | ALYSSA R HOVERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN MN-48913) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MN 48913) |
| 207N00000X Dermatology (Licence: AZ 40404) | |
| 207N00000X Dermatology (Licence: ND 11319) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2022-04-04 |