NPI | 1497748263 |
---|---|
Former Name | LISA R. SIRONEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3003813) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN-232372) |
363LF0000X Nurse Practitioner, Family (Licence: KY 1067394) | |
Enumeration Date | 2005-08-26 |
Last Update Date | 2016-02-03 |