| NPI | 1477914885 |
|---|---|
| Former Name | JANAE ROBERTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013948) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016006756) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2024-08-27 |