NPI | 1780322404 |
---|---|
Former Name | HARLEY ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71012677A) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 28250876A) |
Enumeration Date | 2022-05-23 |
Last Update Date | 2022-08-30 |