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 |