| NPI | 1073559886 |
|---|---|
| Former Name | LISA KAY CROCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 590294) |
| Additional Taxonomies | 208800000X Urology (Licence: TX 590524) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2017-02-01 |