| NPI | 1144903972 |
|---|---|
| Former Name | LIDIA M MONTESINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11031064) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9587881) |
| 163W00000X Registered Nurse (Licence: NY 711921) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383662) | |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2024-05-29 |