| NPI | 1558515650 |
|---|---|
| Former Name | LISA GUTHRIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007329) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209007329) |
| 363L00000X Nurse Practitioner (Licence: MT 101022) | |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2026-06-18 |