| NPI | 1740519016 |
|---|---|
| Former Name | LISA N ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 0035) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 161392-0) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2021-03-09 |