| NPI | 1417934969 |
|---|---|
| Former Name | ALISA M BARDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MN 47611) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 47611) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2020-11-04 |