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 |