| NPI | 1205085321 |
|---|---|
| Former Name | LISA LAURA GUIDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00107400) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2024-03-13 |