| NPI | 1003903998 |
|---|---|
| Former Name | LISA JEANNE BRANCATO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 232582) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 23933) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2011-12-15 |