| NPI | 1932251113 |
|---|---|
| Other Name | JESSICA ROSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PA MD436336) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 235921) |
| 208000000X Pediatrics (Licence: PA MD436336) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2016-01-28 |