| NPI | 1508249178 |
|---|---|
| Former Name | JAMIE LEE ROBINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101280375) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.133579) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2024-04-08 |