| NPI | 1528838471 |
|---|---|
| Former Name | LISA ANNE VANDERZIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NV RN24873) |
| Additional Taxonomies | 163WD1100X Registered Nurse, Dialysis, Peritoneal (Licence: NV RN24873) |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-01-03 |