NPI | 1093741886 |
---|---|
Former Name | LISA ANN HERSCHLIP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 3654) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MN R125294-1) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2021-08-14 |