NPI | 1255422366 |
---|---|
Former Name | LISA ANNE HARBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71001294A) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71001294A) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2017-10-23 |