| NPI | 1831538644 |
|---|---|
| Former Name | LISA ROBIN ROTHMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: NY 292394) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2021-06-08 |