| NPI | 1497897078 |
|---|---|
| Former Name | LIISA INGALLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 200260008CRNA) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |