| NPI | 1972874998 |
|---|---|
| Former Name | LISA SUSAN ROSTOKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 564682) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2015-04-29 |