| NPI | 1700595410 |
|---|---|
| Former Name | LISA CRISCUOLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11020342) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11020342) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2023-02-15 |