| NPI | 1073940631 |
|---|---|
| Former Name | LISA MARGO-SHURACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP1470632) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2022-02-09 |