NPI | 1801329743 |
---|---|
Former Name | LISAMARIE SCHREIBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209015607) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015607) |
Enumeration Date | 2017-04-07 |
Last Update Date | 2022-11-09 |