NPI | 1851364343 |
---|---|
Former Name | LISA L MURPHY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 1797) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 697) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2023-01-31 |