| NPI | 1003927112 |
|---|---|
| Former Name | LISA SANTOS KRESNICKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: FL ME133729) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL Me96905) |
| 208000000X Pediatrics (Licence: KS 04-33344) | |
| 208000000X Pediatrics (Licence: MO 2008021141) | |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: FL ME133729) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-04-26 |