| NPI | 1396038550 |
|---|---|
| Former Name | LISA M BRATHWAITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1124598) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F42096-1) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2023-10-12 |