| NPI | 1679557649 |
|---|---|
| Former Name | LISA G UMPHREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 45604) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 34571) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2015-03-26 |