| NPI | 1013140623 |
|---|---|
| Former Name | LISA ANN MOTTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R122521) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R12251) |
| Enumeration Date | 2009-08-29 |
| Last Update Date | 2018-08-16 |