NPI | 1093838963 |
---|---|
Former Name | LISA ANNETTE ROLLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN CNP1136) |
Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: MN R160724-0) |
363LN0000X Nurse Practitioner Neonatal (Licence: SD CP000374) | |
Enumeration Date | 2007-04-07 |
Last Update Date | 2024-05-07 |