| NPI | 1003893785 |
|---|---|
| Former Name | JETUAN L ROWLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2004020480) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-111984) |
| 207QS0010X Family Medicine, Sports Medicine (Licence: IL 036.111984) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2013-12-30 |