| NPI | 1770925265 |
|---|---|
| Former Name | LISA COUTURE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP145979) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5087) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 219391) | |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2023-04-24 |