| NPI | 1275734592 |
|---|---|
| Former Name | CHERYL ELAINE ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0058372) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME105547) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2017-09-11 |