| NPI | 1619487626 |
|---|---|
| Former Name | LAQUADRIA S ROBINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 8049-33) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-04 |