NPI | 1487048591 |
---|---|
Former Name | PAIGE D ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA RN190775) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN190775) |
Enumeration Date | 2015-03-26 |
Last Update Date | 2020-10-15 |