| NPI | 1366404543 |
|---|---|
| Former Name | BONNIE LEE ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024166001) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2015-04-13 |