| NPI | 1386977510 |
|---|---|
| Former Name | LISA HARTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 013960) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2024-04-04 |