| NPI | 1679829766 |
|---|---|
| Former Name | CARRIE LEIGHANN ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: HI 71391) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001231521) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |