| 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 |