| NPI | 1316457476 |
|---|---|
| Former Name | CHARITY LYNN ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WV APRN84985) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 84985) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2020-06-10 |