| NPI | 1306930599 |
|---|---|
| Former Name | LISA A FATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: VA 0017144265) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 71001785) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: WA AP30005699) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: IN 28077877) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-09-19 |