| NPI | 1851456347 |
|---|---|
| Former Name | LISA M ALM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9102411) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9102411) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2018-05-02 |