| NPI | 1578003927 |
|---|---|
| Former Name | LISA BROOKE PERKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0080011) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK R0080011) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-08-02 |