NPI | 1306141585 |
---|---|
Former Name | ROBIN CYLINTHIA MCKINNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MB09084900) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 268901) |
Enumeration Date | 2011-01-19 |
Last Update Date | 2024-06-25 |