| NPI | 1831646744 |
|---|---|
| Former Name | JANA MICHELLE LIPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95011715) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307999) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2019-08-01 |