NPI | 1245660570 |
---|---|
Former Name | ELIZABETH JOSEPHINE ROBISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 9704527-4405) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 22278) |
Enumeration Date | 2013-11-22 |
Last Update Date | 2017-04-14 |