NPI | 1467406975 |
---|---|
Former Name | JANET L ROLLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP-630A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30006333) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2021-04-16 |