| NPI | 1487625836 |
|---|---|
| Former Name | PAMELA MARIE ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024164150) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2016-02-02 |