| NPI | 1194156067 |
|---|---|
| Other Name | LISA KAY WALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28097300A) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209011058) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2024-03-01 |