| NPI | 1801209440 |
|---|---|
| Former Name | LISA KAYE WENGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 773834) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |