| NPI | 1043674666 |
|---|---|
| Former Name | LISA MIDBOE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: UT 12233984-1204) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VT 031.0129166) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 12233984-1204) | |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2026-04-09 |