| NPI | 1558629204 |
|---|---|
| Former Name | COURTNEY A ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS017651) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207Q00000X Family Medicine (Licence: NY 272635) | |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2015-06-12 |