| NPI | 1841550829 |
|---|---|
| Former Name | LISA R BROCKMEIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 557118) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 1399613) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2013-01-10 |