NPI | 1326414178 |
---|---|
Former Name | ELIZABETH ANNE ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991908-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0198802) |
Enumeration Date | 2015-08-17 |
Last Update Date | 2019-08-26 |