NPI | 1578178679 |
---|---|
Former Name | AMELIA KATE ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085007601) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 85007601) |
Enumeration Date | 2020-09-15 |
Last Update Date | 2023-02-01 |