| NPI | 1396041885 |
|---|---|
| Professional Name | LISA JILL VAN DIEMEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP119904) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 684452) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2024-05-02 |