| NPI | 1124078407 |
|---|---|
| Former Name | JENNIFER EMMA ROMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 086006061N3) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AK 908) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2016-01-20 |