NPI | 1215165675 |
---|---|
Former Name | LISAL J STEVENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: KY 50222) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: KY 50222) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 01072641A) | |
2080P0205X Pediatrics, Pediatric Endocrinology (Licence: IN 01072641A) | |
Enumeration Date | 2009-06-24 |
Last Update Date | 2021-01-26 |