| NPI | 1407941578 |
|---|---|
| Former Name | LISA M ADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 029433) |
| Additional Taxonomies | 174400000X Specialist |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TN MD 029433) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2025-09-12 |