| NPI | 1497564504 |
|---|---|
| Former Name | LISA MARIE MANNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1179320) |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-01-03 |