| NPI | 1699093781 |
|---|---|
| Former Name | ROSELYN JAN WUTHRICH CLEMENTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME118266) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 26386) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2023-06-20 |