| NPI | 1548965171 |
|---|---|
| Former Name | LISA MARIE CATANOSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NJ 25MP00779600) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: PA MA064460) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2024-02-07 |