| NPI | 1053648451 |
|---|---|
| Former Name | LISA MARIE PAULEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-05101) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2024-03-20 |