NPI | 1447854278 |
---|---|
Former Name | LISA SHIRL LANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 376G00000X Nursing Home Administrator |
Additional Taxonomies | 3747P1801X Technician Personal Care Attendant |
Enumeration Date | 2020-11-23 |
Last Update Date | 2022-06-09 |