| NPI | 1780820738 |
|---|---|
| Former Name | CARLI DEANN ROGNLIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA FH1464510) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT 11683) |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2015-04-16 |