NPI | 1194259879 |
---|---|
Former Name | BAHTRENA ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IN 71007647A) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28196661A) |
Enumeration Date | 2017-04-19 |
Last Update Date | 2023-01-04 |