NPI | 1821055765 |
---|---|
Former Name | DANA MARIA ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN125593) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN125593) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2020-05-14 |