| NPI | 1467694414 |
|---|---|
| Former Name | GENA MARIE ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9168974) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL RN9168974) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2018-06-15 |