NPI | 1134609324 |
---|---|
Former Name | MEGAN ROCHELLE ROBISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2018038493) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO F02181208) |
Enumeration Date | 2018-08-16 |
Last Update Date | 2025-01-08 |