| NPI | 1972581387 |
|---|---|
| Former Name | ROBERTA Y CARMEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30007171) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00132680) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2026-02-10 |