| NPI | 1023301983 |
|---|---|
| Former Name | LISA BELLETETE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN273527) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP011261) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2017-03-13 |