| NPI | 1376867960 |
|---|---|
| Former Name | EILEEN JENNIFER ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169532) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN88562) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN14877) | |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2018-03-17 |