NPI | 1831643253 |
---|---|
Former Name | SARA EVELYN ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995112-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008811) |
363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0000891-C-NP) | |
Enumeration Date | 2016-08-15 |
Last Update Date | 2023-01-18 |