NPI | 1508394347 |
---|---|
Former Name | LISA ROUNTREE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F343193) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5022025) |
Enumeration Date | 2017-05-24 |
Last Update Date | 2025-06-16 |