NPI | 1487274577 |
---|---|
Former Name | JORDAN M ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01089271A) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-04-20 |
Last Update Date | 2023-06-23 |