| NPI | 1356875058 |
|---|---|
| Former Name | CAROLYN ELIZABETH ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 227728) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 93720) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2025-01-15 |