NPI | 1780700849 |
---|---|
Former Name | ROBIN A FENNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9180997) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9180997) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2023-08-31 |