| NPI | 1760575435 |
|---|---|
| Former Name | BROOKE L ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024166927) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5004051) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-10-08 |