| NPI | 1417218447 |
|---|---|
| Former Name | MICHELE DAWN ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 16705) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024171344) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN16705) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2023-07-12 |