| NPI | 1942594080 |
|---|---|
| Former Name | LISA JEANNINE HOLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CO DR.0059043) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OK 28523) |
| 207X00000X Orthopaedic Surgery (Licence: CO DR.0059043) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2019-07-02 |