| NPI | 1043473796 |
|---|---|
| Former Name | LISABETH CARLISLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61467593) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A110776) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2023-10-05 |