| NPI | 1295490159 |
|---|---|
| Former Name | EMILY RAEANN-VANUYTVEN ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209026329) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022010295) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT 183938) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 65798) | |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2024-07-10 |