| NPI | 1174751671 |
|---|---|
| Former Name | LISA NICOLE GARWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 14229) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN14229) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2019-12-06 |