| NPI | 1538439385 |
|---|---|
| Former Name | MICCA RACHEL ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP121473) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP121473) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2024-08-13 |