NPI | 1700470986 |
---|---|
Other Name | LISA LINDEMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: IL 041302104) |
Enumeration Date | 2021-02-27 |
Last Update Date | 2021-02-27 |