NPI | 1255761250 |
---|---|
Former Name | WENDY SUE ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704220295) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704220295) |
363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704220295) | |
Enumeration Date | 2013-11-13 |
Last Update Date | 2023-03-21 |