| NPI | 1689847824 |
|---|---|
| Former Name | LISA MARIE EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R0342) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TX 51737) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2021-09-17 |