| NPI | 1972823854 |
|---|---|
| Former Name | KRISTEN MARIE ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2013-01075) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 164639) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2016-05-28 |