NPI | 1477991446 |
---|---|
Former Name | TANYA SUE LISKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: ID O-1230) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID O-1230) |
Enumeration Date | 2013-06-11 |
Last Update Date | 2024-08-22 |