| NPI | 1184187361 |
|---|---|
| Former Name | LISA MARIE CLEMENT FERRILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA PT22056) |
| Enumeration Date | 2019-04-13 |
| Last Update Date | 2019-04-13 |