| NPI | 1831508456 |
|---|---|
| Former Name | LAURA ANN LISMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP013999) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP013999) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP013999) | |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2021-08-27 |