| NPI | 1255644233 | 
|---|---|
| Other Name | LISA M ABBOTT | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IA J-115062)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA 115062)  | 
| Enumeration Date | 2010-07-20 | 
| Last Update Date | 2018-03-17 |