| NPI | 1336337146 |
|---|---|
| Former Name | LISA A CARPENTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX TX587375) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |