NPI | 1699798967 |
---|---|
Former Name | JANETTE E RODDEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 223496) |
Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: IN 71002145A) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2021-07-20 |