| 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 |