| NPI | 1932699436 |
|---|---|
| Former Name | LISHA TAEGEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN134397) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: OH 022685) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2020-11-17 |