| NPI | 1487848818 |
|---|---|
| Former Name | CHRISTINA ELIZABETH ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: SC SC4346) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 4346) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2013-04-16 |