NPI | 1063708717 |
---|---|
Former Name | LISA R. BILYEU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 6298) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist Family Health (Licence: NY F336793-1) |
Enumeration Date | 2011-06-21 |
Last Update Date | 2019-11-07 |