| NPI | 1437885282 |
|---|---|
| Former Name | JULIA ANNE ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NJ 25MT00057900) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-07-25 |