| NPI | 1134601776 |
|---|---|
| Other Name | LISA LYNN WEIRETER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: IN 13003907A) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OH 31.008817) |
| 124Q00000X Dental Hygienist (Licence: FL DH17949) | |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |