| NPI | 1831117647 |
|---|---|
| Former Name | JANE K. ROETTGER(MAIDEN NAME) |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 140451) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 140451) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2017-01-12 |