| NPI | 1184840043 |
|---|---|
| Former Name | LISA KAYE WEIDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.091257) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57-010522) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-07-22 |