NPI | 1174819809 |
---|---|
Former Name | LISA MARIE IANNONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN571906) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11006569) |
Enumeration Date | 2011-06-21 |
Last Update Date | 2022-10-11 |