NPI | 1326548660 |
---|---|
Former Name | LISA MARIE CARVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK RO85874) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 85874) |
Enumeration Date | 2018-02-13 |
Last Update Date | 2023-10-30 |