NPI | 1457983579 |
---|---|
Former Name | ROBIN LYNN SHAVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK R0137652) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71009716A) |
Enumeration Date | 2020-02-06 |
Last Update Date | 2024-10-30 |