NPI | 1982224275 |
---|---|
Former Name | CASSANDRA ELISABETH ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA 284969) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 284969) |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 284969) | |
Enumeration Date | 2020-04-16 |
Last Update Date | 2020-07-10 |