| NPI | 1447235304 |
|---|---|
| Former Name | LISA D. TESTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 9401068) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 9401068) |
| 207L00000X Anesthesiology (Licence: IL 036167627) | |
| 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: NC 9401068) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2024-01-09 |