| NPI | 1982703914 |
|---|---|
| Former Name | LISA GREGORY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26N008267700) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00017200) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-06-14 |