| NPI | 1467986703 |
|---|---|
| Former Name | LISA ANN KISLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: KY C0426) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0063179) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2023-03-27 |