NPI | 1932429925 |
---|---|
Former Name | ROBIN MICAL HUMPHREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003318A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 281454945A) |
Enumeration Date | 2010-06-02 |
Last Update Date | 2017-04-13 |