NPI | 1871744748 |
---|---|
Former Name | SUSAN R. ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA1868) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 15363) |
363LF0000X Nurse Practitioner Family (Licence: CA 11392) | |
Enumeration Date | 2008-10-09 |
Last Update Date | 2017-10-17 |