| NPI | 1063226751 |
|---|---|
| Former Name | ALLIE ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: AZ 319398) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 319398) |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-21 |