| NPI | 1912937343 |
|---|---|
| Former Name | LISA ANN RONDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: UT 1939514405) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2019-10-07 |