NPI | 1962698191 |
---|---|
Former Name | KATHLEEN MARIE ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704152371) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704152371) |
Enumeration Date | 2007-09-20 |
Last Update Date | 2007-09-20 |