| NPI | 1689709503 |
|---|---|
| Former Name | SUSAN ELIZABETH ROGGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 112431) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 44573) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2019-09-03 |