| NPI | 1679539563 |
|---|---|
| Former Name | LISA MERLE PECK-ROSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036086705) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-086705) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2023-09-11 |