| NPI | 1104242601 |
|---|---|
| Former Name | KENDRA AISHA RODGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: LA 09276) |
| Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: LA 155587) |
| 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: NY 671713-1) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: NY 421168) | |
| Enumeration Date | 2014-03-09 |
| Last Update Date | 2019-11-22 |