| NPI | 1902889629 |
|---|---|
| Former Name | LISA M YAGIELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA000886) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA AO000886) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2020-11-11 |