| NPI | 1417666249 |
|---|---|
| Former Name | JONNA ROTHBART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ01464600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14997100) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2023-12-11 |