| NPI | 1366876724 | 
|---|---|
| Former Name | LISA RENE GIEBLER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60452758) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1312A) | 
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201401222NP-PP) | |
| Enumeration Date | 2013-08-21 | 
| Last Update Date | 2015-07-17 |