| NPI | 1184819088 |
|---|---|
| Former Name | LISA KATHLEEN COLOSIMO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5003375) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024169504) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 3651) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 084951-23) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2023-12-26 |