| NPI | 1801246210 |
|---|---|
| Former Name | LISA LEE TASONIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA 217160) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MA 217160) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |