NPI | 1174597165 |
---|---|
Former Name | JENNIFER LYNN ROCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 35721) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD151178) |
207V00000X Obstetrics & Gynecology (Licence: WA MD61120008) | |
Enumeration Date | 2006-02-15 |
Last Update Date | 2023-09-15 |