| NPI | 1639454572 |
|---|---|
| Former Name | LISA M FARIAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02224) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN214014) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2023-10-19 |