| NPI | 1184945289 |
|---|---|
| Other Name | LISA WISEMAN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 15019) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 96690) |
| Enumeration Date | 2010-06-13 |
| Last Update Date | 2016-10-25 |