| NPI | 1437575388 | 
|---|---|
| Former Name | LISA MICHELLE NAVARRO | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP5397) | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5397) | 
| Enumeration Date | 2014-03-14 | 
| Last Update Date | 2020-05-07 |