NPI | 1912662735 |
---|---|
Former Name | ROBIN ELIZABETH PISOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95019047) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019047) |
Enumeration Date | 2021-11-05 |
Last Update Date | 2022-02-01 |