| NPI | 1659831006 |
|---|---|
| Former Name | MEGAN ERIKA ROGAHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 74651-21) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WI 74651-21) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2026-04-09 |