| 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 |