NPI | 1942933015 |
---|---|
Former Name | KERA ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013255A) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: IN 28207853A) |
Enumeration Date | 2022-07-06 |
Last Update Date | 2022-12-15 |