| NPI | 1164661591 |
|---|---|
| Former Name | JAIME NICOLE ROBERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2000151508) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2000151508) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2023-07-18 |