NPI | 1255715058 |
---|---|
Former Name | KELSEY L ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2015023451) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2009003934) |
Enumeration Date | 2015-07-13 |
Last Update Date | 2024-11-21 |