| NPI | 1841653086 |
|---|---|
| Former Name | LISA J CHRISTOPHERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 6514) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 340360) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2024-07-26 |