NPI | 1265893051 |
---|---|
Former Name | ROBIN ANN FROMM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209013999) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013999) |
Enumeration Date | 2016-03-08 |
Last Update Date | 2023-01-26 |