| NPI | 1336284660 |
|---|---|
| Former Name | JENNIFER L LISKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 11002903) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: WI 2279) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2019-11-18 |