| NPI | 1508256504 |
|---|---|
| Former Name | LISA MARIE HAMILTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005593A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28179668A) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2024-03-21 |