NPI | 1528379872 |
---|---|
Former Name | KARA SUZANNE ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME127624) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 54236) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO DR0055967) | |
Enumeration Date | 2010-07-01 |
Last Update Date | 2016-08-17 |