| NPI | 1255569661 |
|---|---|
| Former Name | LISA MARIE CHARGUALAF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T2138) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A150055) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2021-07-29 |