| NPI | 1326849654 |
|---|---|
| Other Name | LISSY ANN COSTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA RN739460) |
| Enumeration Date | 2025-03-22 |
| Last Update Date | 2025-03-22 |