NPI | 1356620504 |
---|---|
Former Name | CHARLENE ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: GA 66879) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 66879) |
208D00000X General Practice (Licence: GA 66879) | |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: GA 66879) | |
Enumeration Date | 2011-08-05 |
Last Update Date | 2014-09-11 |