| NPI | 1932318342 |
|---|---|
| Former Name | PAMELA BOOTH ROBINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101263529) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD472045) |
| 207Q00000X Family Medicine (Licence: WI 57686) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2024-01-19 |