| NPI | 1124228010 |
|---|---|
| Former Name | LISA RENEE WARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01065883A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01065883A) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2022-11-21 |