| NPI | 1629473434 |
|---|---|
| Former Name | LISA MARIE RUWART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704272002) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2021-01-11 |