NPI | 1114118577 |
---|---|
Former Name | LISA R TROMP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 195005) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 14685) |
Enumeration Date | 2007-08-09 |
Last Update Date | 2022-04-25 |