| NPI | 1962799395 |
|---|---|
| Former Name | LISA MARIE KATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71003733A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28185844A) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2017-07-19 |