| NPI | 1265494926 |
|---|---|
| Former Name | LISA BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 001679) |
| Additional Taxonomies | 2471V0106X Radiologic Technologist, Vascular-Interventional Technology (Licence: CT 001679) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2021-08-27 |