| NPI | 1053364968 |
|---|---|
| Other Name | ROBBIE ELAINE MEDBERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: SC 25895) |
| Additional Taxonomies | 2085R0001X (Licence: GA 50976) |
| 2085R0001X (Licence: PA MD057979L) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-06-03 |