| NPI | 1275176232 |
|---|---|
| Former Name | BONNIE LEIGH ROBERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143020) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 143020) |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2021-09-14 |