| NPI | 1124343272 |
|---|---|
| Other Name | LISA MARIE CANTOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171000000X Military Health Care Provider |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2024-05-07 |