NPI | 1073585279 |
---|---|
Former Name | ANGI K ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AR A001323) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CO NP990280) |
Enumeration Date | 2006-02-02 |
Last Update Date | 2021-06-22 |