| 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 |