NPI | 1114451325 |
---|---|
Former Name | HEIDI ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS17731) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0102205515) |
Enumeration Date | 2017-04-13 |
Last Update Date | 2021-12-27 |