NPI | 1144516105 |
---|---|
Former Name | KIMBERLY ANN ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL ARNP9172177) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: FL RN9172177) |
Enumeration Date | 2011-06-28 |
Last Update Date | 2011-09-27 |