| NPI | 1851566160 |
|---|---|
| Former Name | LISA RENE FUSCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 82005) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CT 051770) |
| 207V00000X Obstetrics & Gynecology (Licence: CT 051770) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2020-05-20 |