NPI | 1740226810 |
---|---|
Former Name | ROBYN LYNNE DURST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 124578) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 45390) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2015-02-06 |