| NPI | 1205463015 |
|---|---|
| Former Name | JENNIFER ANNE ROCHE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 323711) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 64364) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2024-02-19 |