| NPI | 1750774642 |
|---|---|
| Former Name | LISA KIKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 19330) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC APN19330) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2022-12-08 |