| NPI | 1780651307 |
|---|---|
| Former Name | JENNIFER JEANNE ROSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: VA 0101237407) |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: VA 0101237407) |
| 208D00000X General Practice (Licence: VA 0101237407) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2022-12-06 |