| NPI | 1063912103 |
|---|---|
| Former Name | MORGANNE MARIE ROTHWEILER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00794700) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2024-10-01 |