| NPI | 1255328225 |
|---|---|
| Former Name | LISA CAROL ROTHENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 0935622) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2016-06-20 |