| NPI | 1972084267 |
|---|---|
| Former Name | KELLY SUE ANN ROBBINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008255A) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71008255A) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2022-05-10 |