| NPI | 1013253871 |
|---|---|
| Former Name | MARY ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11005295) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NC 5007226) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2020-09-02 |