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 |