| 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 | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA AP30007171) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2020-09-10 |