| NPI | 1609071299 |
|---|---|
| Former Name | ROXANNE NICOLE LANDESMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 010244208) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2010-01-14 |