NPI | 1306046818 |
---|---|
Former Name | LISA MAIKALANI FRANKLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 197983) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0003562) |
Enumeration Date | 2007-07-23 |
Last Update Date | 2022-08-29 |