| NPI | 1144632761 |
|---|---|
| Former Name | JENIFER NOEL ROTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704259692) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704259692) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2024-09-12 |