| NPI | 1518335686 |
|---|---|
| Former Name | FERN ROBERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F338481) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00654300) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2022-12-13 |