| NPI | 1760439079 |
|---|---|
| Former Name | LISA MARIE SMALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11007322) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30006523) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2022-12-28 |