NPI | 1528388899 |
---|---|
Former Name | LISA M KWISNEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: PA OS015137) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS015137) |
Enumeration Date | 2010-06-09 |
Last Update Date | 2017-11-14 |