| NPI | 1164676607 |
|---|---|
| Former Name | LISA KAREN WALSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9289996) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010022) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2020-01-06 |