| NPI | 1942747506 |
|---|---|
| Former Name | MARIA CATHERINE LASALA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24644) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: SC 233101) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2021-02-08 |