| NPI | 1043648744 |
|---|---|
| Former Name | KATHRYN R ROGGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209010782) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.010782) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2024-07-30 |