| NPI | 1972586121 |
|---|---|
| Former Name | LISA LINN PARRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 001221) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 1862) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2012-01-06 |