| NPI | 1104115468 |
|---|---|
| Former Name | LISA PEARL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.138311) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.138311) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2022-12-21 |