| NPI | 1104600394 |
|---|---|
| Former Name | CAITLAN ANN RODGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 11665) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN F08230671) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2024-10-02 |