| NPI | 1346768934 |
|---|---|
| Former Name | LISA PATE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95006820) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CA 4607) |
| 363L00000X Nurse Practitioner (Licence: CA 95006820) | |
| 163W00000X Registered Nurse (Licence: CA 549679) | |
| Enumeration Date | 2017-09-02 |
| Last Update Date | 2026-06-09 |