| NPI | 1588841175 |
|---|---|
| Former Name | JAKELINNE E CABALLERO-ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 002767) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 012141-1) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2012-09-04 |