| NPI | 1750554358 |
|---|---|
| Former Name | LISA TELLINGHUISEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP3200322) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2023-11-21 |