| NPI | 1801363411 |
|---|---|
| Former Name | LISA ANN THUMM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11000002) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 1000002) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2023-05-09 |