NPI | 1720203581 |
---|---|
Professional Name | LISA MONIQUE MATTHEWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NV PA2289) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA001691l) |
Enumeration Date | 2007-04-16 |
Last Update Date | 2022-11-03 |