| NPI | 1942459367 |
|---|---|
| Professional Name | LISA F BLOOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: IN 71001121A) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-09-10 |