| NPI | 1790130227 |
|---|---|
| Former Name | TRACY NICOLE ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TN 0000004271) |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: FL OS16708) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2022-07-22 |