NPI | 1316053887 |
---|---|
Former Name | LISA RENEE FELGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 664485) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX 664485) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2011-12-08 |