| NPI | 1316991433 |
|---|---|
| Former Name | LISA JENNIFER MORENO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9166030) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2021-03-11 |