NPI | 1477802833 |
---|---|
Former Name | ERINN ALEXANDRA ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009488) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60305664) |
Enumeration Date | 2012-08-31 |
Last Update Date | 2019-05-21 |