| NPI | 1679929244 |
|---|---|
| Former Name | LISA MARIE HEHMEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016005841) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041427388) |
| 163W00000X Registered Nurse (Licence: MO 2010005708) | |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2024-06-19 |