| NPI | 1750445649 |
|---|---|
| Former Name | LISA STORRS KLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD0000049095) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101238618) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-01-23 |