| NPI | 1801907787 |
|---|---|
| Former Name | LISA FAWN STURGELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200450001NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 2003501139NP) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-04-27 |