NPI | 1720086697 |
---|---|
Other Name | WANDA ELOISE - ROBINSON EDWARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704102153) |
Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: MI 4704102153) |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MI 4704102153) | |
Enumeration Date | 2005-07-13 |
Last Update Date | 2020-12-01 |