| NPI | 1275007775 |
|---|---|
| Former Name | TARA NICOLE ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374J00000X Doula |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 174H00000X Health Educator | |
| 174N00000X Lactation Consultant, Non-RN | |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |