NPI | 1871746164 |
---|---|
Former Name | LISA LORA FISCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9118126) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 1218) |
Enumeration Date | 2008-10-30 |
Last Update Date | 2024-01-03 |