| NPI | 1306945175 |
|---|---|
| Former Name | LISA A. BARRETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 001677) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA2019) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2021-04-02 |