| NPI | 1215998927 |
|---|---|
| Former Name | LISA MARIE JULIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OH 67000102) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: IN 75000044A) |
| 367H00000X Anesthesiologist Assistant (Licence: NC 1000-00543) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2023-08-18 |