| NPI | 1487108841 |
|---|---|
| Former Name | ROBIN PHELPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2016016638) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 008808) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2018-07-13 |