| NPI | 1174729255 |
|---|---|
| Former Name | LAURA MARIE ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A120225) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60690012) |
| 207R00000X Internal Medicine (Licence: CA 120225) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-11-20 |