NPI | 1023243698 |
---|---|
Former Name | JESSICA ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OH 34.016853) |
Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL OS14382) |
2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL OS14382) | |
Enumeration Date | 2009-05-26 |
Last Update Date | 2024-01-25 |