| NPI | 1730372756 |
|---|---|
| Former Name | LISA A PODANY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-692) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2024-02-14 |