| NPI | 1730663287 |
|---|---|
| Former Name | LISA S ISRAEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: RI PA01080) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2020-03-25 |