| NPI | 1083993273 |
|---|---|
| Former Name | MOIS A ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 53658) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209000639) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 53658) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 27001480) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0002620-C-NP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277001480) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.002320-C-NP) | |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2023-05-16 |