NPI | 1487609491 |
---|---|
Other Name | KATHY SUE ROBERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR A01158) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR 19319) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2011-01-06 |