NPI | 1306247911 |
---|---|
Former Name | ROBYN RICHELLE FULLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60542388) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126384) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP60542388) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP60542388) | |
Enumeration Date | 2014-09-15 |
Last Update Date | 2021-12-15 |