| NPI | 1962956987 |
|---|---|
| Former Name | ELIZABETH RODGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 21905) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000208657) |
| 163W00000X Registered Nurse (Licence: TN 208657) | |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2024-09-04 |