| NPI | 1417362351 |
|---|---|
| Former Name | NICOLE ROBERTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209028100) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 137399) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2024-05-16 |