NPI | 1043212616 |
---|---|
Former Name | PAMELA K ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K7991) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 12878) |
Enumeration Date | 2005-08-12 |
Last Update Date | 2020-09-01 |