| NPI | 1033479555 |
|---|---|
| Former Name | LISA MARIE PAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557116) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0990778-CRNA) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2022-07-13 |