| NPI | 1366745200 |
|---|---|
| Former Name | LISA MARIE HART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP011152) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA SP011152) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2019-06-21 |