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 |