| NPI | 1154096964 |
|---|---|
| Former Name | LISA BUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ND R31261) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MN 8620) |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2021-11-04 |