| NPI | 1194952655 |
|---|---|
| Former Name | JENNIFER ROEDEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301094370) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301094370) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2012-08-27 |