NPI | 1417290339 |
---|---|
Former Name | LISA MARIE CARONIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OH 35.131630) |
Enumeration Date | 2013-03-28 |
Last Update Date | 2024-04-08 |