NPI | 1194722421 |
---|---|
Former Name | LISA CARTER-HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28158514A) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 4352P) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NY F309132) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: KY 4352P) | |
Enumeration Date | 2005-07-01 |
Last Update Date | 2019-12-20 |