| NPI | 1982789939 |
|---|---|
| Former Name | NICOLE ROGALSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 053134-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 254623) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 254623) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2010-02-02 |