| NPI | 1730307828 |
|---|---|
| Former Name | LISA ANN KOTROLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 628719) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: TX 628719) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |