| NPI | 1972962504 |
|---|---|
| Former Name | TARA ANNE PISANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00720600) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 340299) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2024-05-31 |