NPI | 1083656698 |
---|---|
Former Name | GAIL LENORA ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 0050-02304) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5002304) |
Enumeration Date | 2006-06-11 |
Last Update Date | 2014-10-31 |