| NPI | 1457627341 |
|---|---|
| Former Name | LISA JEAN ERDMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2342) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 177912-3) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2020-08-07 |