| NPI | 1386639136 |
|---|---|
| Former Name | LISA NEAL ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 28500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 28500) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2018-02-28 |