NPI | 1043548100 |
---|---|
Former Name | LISA ANN HAPEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F305155-1) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ00267100) |
Enumeration Date | 2009-12-01 |
Last Update Date | 2022-02-28 |