NPI | 1720066319 |
---|---|
Former Name | ROBILYN ANN ROLF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704195404) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP011452) |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024169818) | |
Enumeration Date | 2006-01-04 |
Last Update Date | 2014-10-09 |