| NPI | 1609252568 |
|---|---|
| Former Name | ROBIN MARIE DEW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 1-083994) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: AL 1-083994) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2024-04-10 |