| NPI | 1942575675 |
|---|---|
| Former Name | LISA MICHELLE FUEHRER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA61112006) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA22082) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2021-10-19 |