| NPI | 1073707311 |
|---|---|
| Former Name | LISA PATRICE HARRISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5003510) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 5003510) |
| 363L00000X Nurse Practitioner (Licence: NC 144763) | |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2023-07-14 |