NPI | 1114655230 |
---|---|
Former Name | ROBBYN ARLENE FROCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP025872) |
Additional Taxonomies | 208800000X Urology (Licence: PA RN325024L) |
208800000X Urology (Licence: PA SP025872) | |
363L00000X Nurse Practitioner (Licence: PA SP025872) | |
Enumeration Date | 2022-08-09 |
Last Update Date | 2024-06-11 |