| NPI | 1447508429 |
|---|---|
| Former Name | JAMIE E ROGALLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 4319-23) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: VA 011003949) |
| 363A00000X Physician Assistant (Licence: VA 0110003949) | |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2020-01-13 |