| NPI | 1407953953 |
|---|---|
| Former Name | LISA CAROL MCCRORY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 6299) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: TN APN000006299) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000006299) | |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2024-02-20 |