| NPI | 1699786186 |
|---|---|
| Former Name | LISA FAZI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD058440L) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD058440L) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2023-03-21 |