| NPI | 1558922492 |
|---|---|
| Former Name | LISA MARIE BETLEJ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9484) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 195913-30) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 9484-33) | |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2021-07-19 |