| NPI | 1851830459 |
|---|---|
| Former Name | LISA M GOODFELLOW-MERTENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A131999) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IA A131999) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2023-08-21 |