| NPI | 1114078839 |
|---|---|
| Former Name | LISA PENTON HERRING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP04640) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP04640) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2018-02-13 |