| NPI | 1467405787 |
|---|---|
| Former Name | LISA M MINGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: AL MD.33730) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ID M8994) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2014-10-10 |