NPI | 1891047049 |
---|---|
Former Name | ASHLEY CORINNE ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CT 63693) |
Enumeration Date | 2012-10-12 |
Last Update Date | 2022-04-14 |