NPI | 1881300655 |
---|---|
Former Name | JAMIE LUVINA ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO AG10200184) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO AG10200184) |
Enumeration Date | 2023-01-25 |
Last Update Date | 2023-01-25 |