| NPI | 1902954407 | 
|---|---|
| Former Name | LISA H. HOPPER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016071) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN - 1624) | 
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007844) | |
| Enumeration Date | 2007-01-08 | 
| Last Update Date | 2022-06-20 |