| NPI | 1508346651 |
|---|---|
| Former Name | LISA FRIED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI 2504) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190017) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2024-06-06 |