NPI | 1306416607 |
---|---|
Former Name | TAYLOR CALLI ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 7687) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 0428R) |
Enumeration Date | 2021-06-29 |
Last Update Date | 2023-07-12 |