| NPI | 1508206467 |
|---|---|
| Former Name | LISA S. CROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MT MED-PHYS-LIC-91732) |
| Additional Taxonomies | 208600000X Surgery (Licence: NM RS2015-0359) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2023-07-13 |