| NPI | 1649524240 |
|---|---|
| Former Name | LISA WAHLRAB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 14327-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.14327) |
| 163W00000X Registered Nurse (Licence: OH 350508) | |
| Enumeration Date | 2012-11-04 |
| Last Update Date | 2021-08-25 |