| NPI | 1972140804 |
|---|---|
| Former Name | MAELEY ROSE ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA 95012668) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 95012668) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |