| NPI | 1043688161 |
|---|---|
| Former Name | JENINE ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95002533) |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty (Licence: CA NP95002533) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2024-04-11 |