NPI | 1720120298 |
---|---|
Former Name | CELINE ANN ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5005905) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R17970) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2024-08-02 |