| NPI | 1447224704 |
|---|---|
| Former Name | LISA M KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MA RN195354) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 195354) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2022-03-09 |