| NPI | 1851726681 |
|---|---|
| Former Name | LISA KAY DAVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: HI AMD-1287) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: LA PA.200664) |
| 363AM0700X Physician Assistant, Medical (Licence: CO PA.0004230) | |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2024-01-05 |