NPI | 1295980274 |
---|---|
Former Name | LISA MARIE SKABELUND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX P4249) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P4249) |
207R00000X Internal Medicine (Licence: OH 57.015117) | |
Enumeration Date | 2008-11-18 |
Last Update Date | 2024-01-23 |