NPI | 1033546643 |
---|---|
Former Name | LISA ANN GIRAMONTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA4740) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 002873) |
Enumeration Date | 2013-09-27 |
Last Update Date | 2013-09-27 |