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 |