NPI | 1285098848 |
---|---|
Former Name | LISA A SCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP61210170) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A16471) |
Enumeration Date | 2016-04-11 |
Last Update Date | 2022-07-20 |