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 |