| NPI | 1386119477 |
|---|---|
| Former Name | LISA MARIE MARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MI 4704194473) |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |