| NPI | 1629626213 |
|---|---|
| Former Name | COURTNEY S ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009388A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28199508A) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2023-06-16 |