| NPI | 1942573795 |
|---|---|
| Former Name | LISA MCDONALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00432600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012052) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NJ 26NJ00432600) | |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2020-02-25 |