NPI | 1437575388 |
---|---|
Former Name | LISA MICHELLE NAVARRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/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 |