NPI | 1942722020 |
---|---|
Former Name | VERONICA JO ROESCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN270072) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 22857) |
Enumeration Date | 2017-07-11 |
Last Update Date | 2024-07-31 |