| NPI | 1134438286 |
|---|---|
| Former Name | LISA M RICHWINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71003281A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71003281A) |
| 364SX0200X Clinical Nurse Specialist, Oncology (Licence: IN 71003281A) | |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2023-04-06 |