NPI | 1497264170 |
---|---|
Former Name | ROBIN GAYLE CHUKES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028747) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 5441) |
Enumeration Date | 2017-09-25 |
Last Update Date | 2021-08-26 |