NPI | 1689115263 |
---|---|
Former Name | KINDRA ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A133625) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A133625) |
Enumeration Date | 2017-03-15 |
Last Update Date | 2024-02-22 |