| NPI | 1649697608 |
|---|---|
| Former Name | HOLLY R ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18443) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 18443) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 18443) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2021-09-27 |