NPI | 1942788989 |
---|---|
Former Name | LISA ANN MEISSNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R146370-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 94145611) |
Enumeration Date | 2018-08-01 |
Last Update Date | 2018-08-01 |