| NPI | 1144468430 |
|---|---|
| Former Name | LISA OURADA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 668125) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM R67246) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2010-11-22 |