NPI | 1801812334 |
---|---|
Former Name | ROBIN WORRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00035434) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD218382) |
207Q00000X Family Medicine (Licence: OR MD20270) | |
Enumeration Date | 2006-07-15 |
Last Update Date | 2024-10-02 |