NPI | 1699066910 |
---|---|
Former Name | TRENISE R ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA.200616.RX) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 2173) |
Enumeration Date | 2011-04-20 |
Last Update Date | 2016-07-22 |