| NPI | 1033469648 |
|---|---|
| Former Name | LISA M SHUBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MA PA4505) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA4505) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2025-09-03 |