NPI | 1326351784 |
---|---|
Former Name | ROBIN MIDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 010494) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 1151) |
Enumeration Date | 2010-07-14 |
Last Update Date | 2013-11-14 |