| NPI | 1336783042 |
|---|---|
| Former Name | LISA JO LEFEBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9728) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: WI 9728) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2022-10-07 |