| NPI | 1124378781 |
|---|---|
| Former Name | SUSAN RENE RODGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005993) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 213696) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5005993) | |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2023-03-17 |