| NPI | 1578017083 |
|---|---|
| Former Name | LISA BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME140990) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A167393) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN23474) | |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2021-03-31 |