| NPI | 1922257278 |
|---|---|
| Former Name | LISA ANN KISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 008855) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1054593) |
| 363L00000X Nurse Practitioner (Licence: KY 5673P) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 5673p) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3005673) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2025-04-22 |