| NPI | 1356716757 |
|---|---|
| Former Name | LISA L BAIRD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NH 1141) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2016-06-28 |