| NPI | 1912369687 |
|---|---|
| Other Name | LISA RAWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AR A004797) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 20960) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 20960) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 20960) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: AR A004797) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-08-30 |