| 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 | 2026-05-11 |