| NPI | 1053453142 |
|---|---|
| Former Name | ELLEN E. ROLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 05-32174) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 32174) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2018-12-20 |