| NPI | 1760711774 |
|---|---|
| Other Name | LISA KO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 185605) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1619883) |
| 208M00000X Hospitalist (Licence: GA RN185605) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP010618) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 0990839) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA 185605) | |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2018-07-18 |