| NPI | 1619928652 |
|---|---|
| Former Name | LISA M PHELPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: FL 81913) |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine (Licence: FL 81913) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2025-07-15 |