| NPI | 1457367336 |
|---|---|
| Former Name | LISA ANNE MICHALSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS015423) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 010543) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: PA OS015423) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2024-01-30 |