| NPI | 1982678264 |
|---|---|
| Former Name | LISA JANSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SD CP000239) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD 0239) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2019-06-10 |