| NPI | 1275622060 |
|---|---|
| Former Name | JENNIFER MICHELLE ROESER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME101751) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN9996) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2013-08-02 |