| NPI | 1861723801 |
|---|---|
| Former Name | ROBIN M FULFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167768) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024167768) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2022-03-02 |