| NPI | 1841466182 |
|---|---|
| Former Name | LISA NICOLE LYLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 37939) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CA 37939) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2019-11-30 |