| NPI | 1629364377 |
|---|---|
| Former Name | LISA MARIE HILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 9778A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MR-1172) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2015-02-16 |