| NPI | 1144976085 |
|---|---|
| Former Name | GRETCHEN OCTAVIA ROBINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA GAA-NP000518) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC APRN25576) |
| 363LF0000X Nurse Practitioner Family (Licence: SC APN.25576APRN) | |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-03-22 |