NPI | 1407139546 |
---|---|
Former Name | STACY M ROBINETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 351434141) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28131467A) |
363LF0000X Nurse Practitioner, Family (Licence: IN 71003749A) | |
Enumeration Date | 2011-09-26 |
Last Update Date | 2019-12-31 |