| NPI | 1053465328 |
|---|---|
| Former Name | LISA MARIE CHISM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WV 149) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2017-10-06 |