| NPI | 1689079212 |
|---|---|
| Former Name | ROBIN WADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277-002527) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012033) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2023-07-13 |