NPI | 1346627536 |
---|---|
Former Name | LISA NEESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012735) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209012735) |
Enumeration Date | 2015-04-27 |
Last Update Date | 2024-09-26 |