| NPI | 1992540454 |
|---|---|
| Former Name | LISA MARIE DIMARCELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP029818) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010538) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP028920) | |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |