| NPI | 1780149526 |
|---|---|
| Former Name | NICOLE MARIE ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist Ambulatory Care (Licence: MT 6307) |
| Additional Taxonomies | 208U00000X Clinical Pharmacology (Licence: MT 6307) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2020-07-20 |