NPI | 1639312333 |
---|---|
Former Name | LISA E. SUPTELA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: NC A-4731) |
Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: NC 4731) |
Enumeration Date | 2009-04-09 |
Last Update Date | 2012-03-12 |